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1649423344
TABITHA A CARLSON
FORT WAYNE, IN
NPI
1649423344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 99034731A)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- TABITHA A CARLSON PsyD
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- TABITHA A CARLSON PsyD
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Copy
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